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Related Experiment Videos

Temporal arteritis: a review and case history

Y Moltyaner1, J Tenenbaum

  • 1Department of Medicine, University of Toronto, Ontario.

The Journal of Family Practice
|September 1, 1996
PubMed
Summary

Giant cell arteritis, a systemic vasculitis in the elderly, often presents with subtle symptoms. Awareness of diverse presentations is crucial to prevent severe complications like vision loss and stroke.

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Thorax·2003

Area of Science:

  • Rheumatology
  • Internal Medicine
  • Geriatrics

Background:

  • Giant cell arteritis (GCA), a systemic vasculitis primarily affecting the elderly, typically presents with classic symptoms like headache and jaw claudication.
  • Early diagnosis is often straightforward in typical cases, but atypical or asymptomatic presentations can be challenging to identify.

Observation:

  • This case report details a patient referred for anemia and an elevated erythrocyte sedimentation rate.
  • During hospitalization, the patient developed a new symptom: headache.

Findings:

  • The patient's presentation highlights the importance of considering GCA even with non-classic initial symptoms.
  • Anemia and elevated ESR can be initial indicators, with headache developing later.

Implications:

  • Recognizing diverse GCA presentations is vital for clinicians to avoid diagnostic delays and inappropriate investigations.
  • Prompt diagnosis and treatment can prevent severe complications, including visual loss, myocardial ischemia, cerebrovascular accidents, and mortality.

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